Critical Illness | MetLife

Critical Illness | MetLife

Critical Illness Insurance

Helps you alleviate the expenses that come with a covered critical illness.

Please note: If you have previously registered on this site using your BNY Mellon email address, you may need to re-register using your BNY email address. Please call 1-866-250-4510 if you need assistance resetting your account.

Here's what you need to know

Critical Illness Insurance helps provide financial support if diagnosed with a covered critical illness.

 

If you’re diagnosed with a critical illness like a heart attack or stroke, your life can change quickly. In addition to the emotional and physical toll, there may be strain on your personal finances. That’s because while a major medical plan may pay for some of the costs associated with treatment, out-of-pocket expenses like co-pays and deductibles can still put a strain on your savings. 

 

However, once you’re enrolled in Critical Illness Insurance, you’ll have additional financial protection if you have a covered critical illness. With this policy, you receive cash benefits paid directly to you to use however you choose. 

 

  • Gives a lump sum payment to use however you see fit
  • The payment is made directly to you 
  • It can help pay out-of-pocket expenses related to medical care associated with covered illnesses
  • In addition to medical care, you may use it to pay for things like childcare, lodging, or over-the-counter medication

 

This payment is in addition to your employer’s major medical plan – and in addition to any other type of medical coverage, disability insurance, or other benefits you may be eligible for or collect. However, it is NOT a substitute for these coverages and does not meet minimum essential coverage as defined by federal law. 

Dealing with a critical illness can be costly to you in 2 ways:

 

  • Medical Bills. It’s not unusual for a critical illness to result in out-of-pocket expenses. It starts with the usual, deductibles and copays, but it doesn’t end there. You might decide to go to a doctor or facility that’s “out of network.” You might decide to get a second opinion or type of treatment that isn’t covered at all. When your health is at stake, it's important to feel like you have control and choices. 
  • Lost Income. Treatment and focus on recovery may require extra time away from work. That can impact the paycheck your family may rely on to keep everything on track. Or you might discover you have added expenses because you need more help around the house, extra childcare, or additional lodging near treatment. These costs can subtract from your wages or savings. 

 

The advantage of this insurance is simple: you can use your critical illness benefit any way you choose. You can use it to help pay for medical expenses like deductibles and copays, as well as any non-medical expenses. You can also use this money to help pay daily living expenses such as grocery bills, mortgage payments, childcare, and transportation – all of which can be an added worry if you lose income while you’re out of work.

 

Access to this benefit helps you more control over your finances and ultimately your health care options, too. Less stress about money and added peace of mind are both great ways to support your recovery.

These are the periods when you are eligible to enroll for Critical Illness Insurance:

 

  • Within your new hire enrollment period.
  • If you have a qualifying life event (you get married, have a baby, etc.), call
    1-866-250-4510 to change or increase your benefit amount, or add a child or spouse to coverage.
  • During your employer’s annual enrollment.

 

Check with your employer’s human resources/benefits team for specifics about these timeframes.

 

Keep in mind: If you enroll during these timeframes, you have what is called “guaranteed issue,” which means you may qualify for Critical Illness Insurance without answering health questions. You must have this insurance in place before an accident happens in order to be eligible to collect the benefit when you need it.

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

 

Critical Illness Insurance Benefit Booklet

 

Critical Illness Insurance FAQ Flyer

 

Health Screening Benefit

Doctor's test results indicate a heart attack diagnosis.

That’s when Critical Illness Insurance comes in.

Because you have Critical Illness Insurance, your diagnosis means you’re eligible to receive a payment you can use any way you choose.

Frequently Asked Questions

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  • Who is the provider?

    MetLife

     

    MetLife is a market leader for the portfolio of coverage options they offer and has been in business for over 136 years. They serve over 24,000 Group Life customers, helping more than 23 million people enjoy an improved sense of financial security.

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  • When is a benefit paid under the policy?

    Once your insurance is in effect, you’ll collect benefits for a variety of events related to covered critical illnesses. These benefits vary by state and may have other limitations and exclusions that may affect what’s payable. Refer to the policy documents for complete details.
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  • Who in my family is eligible for this insurance?

    Members of your family who are considered eligible to enroll for this insurance include:

    • You – if you are an active employee working 16+ hours per week 
    • Your spouse – age 18 and older 
    • Your child(ren) – under age 26 

     

    You must be enrolled in coverage for members of your family to also enroll.

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  • How much does this insurance cost?

    BNY - MetLife Critical Illness Insurance Semi-Monthly Premiums

    To calculate your semi-monthly premium, multiply the above semi-monthly rates per $1,000 based on your tobacco use status, age, and coverage tier by the benefit amount you want divided by $1,000 (e.g., 10 for $10,000 of coverage). 

     

    Employee, Non-Tobacco Semi-Monthly Premiums

    Age Rate
    18-24 $0.150
    25-29 $0.165
    30-34 $0.190
    35-39 $0.235
    40-44 $0.295
    45-49 $0.390
    50-54 $0.520
    55-59 $0.705
    60-64 $0.920
    65-69 $1.150
    70-74 $1.485
    75+ $2.015

     

    Employee + Spouse, Non-Tobacco Semi-Monthly Premiums

    Age Rate
    18-24 $0.260
    25-29 $0.280
    30-34 $0.310
    35-39 $0.380
    40-44 $0.480
    45-49 $0.615
    50-54 $0.805
    55-59 $1.075
    60-64 $1.390
    65-69 $1.730
    70-74 $2.225
    75+ $3.025

     

    Employee + Child, Non-Tobacco Semi-Monthly Premiums

    Age Rate
    18-24 $0.260
    25-29 $0.275
    30-34 $0.295
    35-39 $0.340
    40-44 $0.405
    45-49 $0.500
    50-54 $0.630
    55-59 $0.810
    60-64 $1.025
    65-69 $1.255
    70-74 $1.595
    75+ $2.125

     

    Family, Non-Tobacco Semi-Monthly Premiums

    Age Rate
    18-24 $0.365
    25-29 $0.385
    30-34 $0.420
    35-39 $0.490
    40-44 $0.585
    45-49 $0.725
    50-54 $0.920
    55-59 $1.185
    60-64 $1.495
    65-69 $1.840
    70-74 $2.340
    75+ $2.130

     

    Employee, Tobacco Semi-Monthly Premiums

    Age Rates
    18-24 $0.175
    25-29 $0.200
    30-34 $0.240
    35-39 $0.330
    40-44 $0.450
    45-49 $0.620
    50-54 $0.860
    55-59 $1.200
    60-64 $1.580
    65-69 $1.985
    70-74 $2.575
    75+ $3.425

     

    Employee + Spouse, Tobacco Semi-Monthly Premiums

    Age Rates
    18-24 $0.290
    25-29 $0.325
    30-34 $0.385
    35-39 $0.530
    40-44 $0.710
    45-49 $0.965
    50-54 $1.315
    55-59 $1.815
    60-64 $2.370
    65-69 $2.970
    70-74 $3.840
    75+ $5.115

     

    Employee + Child, Tobacco Semi-Monthly Premiums

    Age Rate
    18-24 $0.285
    25-29 $0.305
    30-34 $0.345
    35-39 $0.440
    40-44 $0.555
    45-49 $0.730
    50-54 $0.970
    55-59 $1.305
    60-64 $1.690
    65-69 $2.100
    70-74 $2.680
    75+ $3.530

     

    Family, Tobacco Semi-Monthly Premiums

    Age Rate
    18-24 $0.400
    25-29 $0.435
    30-34 $0.495
    35-39 $0.635
    40-44 $0.815
    45-49 $1.070
    50-54 $1.425
    55-59 $1.925
    60-64 $2.475
    65-69 $3.080
    70-74 $3.950
    75+ $5.220
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  • How do I file a claim?

    Visit mybenefits.metlife.com or download the MetLife mobile app to view your certificate of insurance and initiate your claim. Answer a few simple questions about what happened and upload your medical documentation to support your claim. Once we have everything, claims are typically processed within 10 business days. You only need one claim form per accident, and every claim is reviewed by a claims professional. Once your claim is approved, you’ll receive a check made out to you to use however you like.
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  • Do I have to answer health questions or take a medical exam?

    No, you don’t. Enroll during your eligible enrollment periods and you have "guaranteed issue," which means you may qualify for insurance without answering health questions.2
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  • What if my employment status changes?

    Good news! If you leave or retire from your current employer, you can continue your Critical Illness Insurance without interruption (subject to applicable law and the policy’s terms and conditions). Although payroll deduction will no longer be available, you can opt for other payment methods such as direct bank account deduction, credit card billing or home billing. Higher rates may apply. 
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  • When would my insurance start?

    For annual enrollment, coverage is effective on the date shown on the Certificate after the application is received and approved. You must be actively at work on the coverage effective date.

     

    For new hires and qualifying life events, coverage is effective the first of the month following the enrollment form approval date, provided the eligibility requirements are met.

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  • Am I really free to use the payment any way I choose?

    Yes, you are! There are no restrictions or requirements about how you can use your critical illness cash benefit. When you’re facing a critical illness, you want to be able to focus your time and energy on treatment and recovery. This policy can help you do just that. You’re free to use your benefit on medical expenses and/or non-medical expenses. Having that kind of flexibility can help you feel more in control over your care and your finances at a very stressful time.
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  • How do I cancel my policy?

    Call 1-866-250-4510 to initiate your policy cancellation.

Are you ready To Enroll?

Act now to put Critical Illness Insurance in place to help offset expenses that may not be covered by other insurance.

Please note: If you have previously registered on this site using your BNY Mellon email address, you may need to re-register using your BNY email address. Please call 1-866-250-4510 if you need assistance resetting your account.

 User ID: Your User ID is your 9-digit Employee ID (include the leading zeros)

Do You Need Help?

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Phone Number: 1-866-250-4510
  • Legal Disclaimers

    1Coverage is guaranteed provided (1) the employee is actively at work and (2) dependents to be covered are not subject to medical restrictions as set forth on the enrollment form and in the Certificate. Some states require the insured to have medical coverage.

     

    2Eligible Family Members means all persons eligible for coverage as defined in the Certificate.

     

    METLIFE CRITICAL ILLNESS INSURANCE (CII) IS A LIMITED BENEFIT GROUP INSURANCE POLICY. Like most group accident and health insurance policies, MetLife's CII policies contain certain exclusions, limitations and terms for keeping them in force. Product features and availability vary by state. There may be a preexisting condition exclusion.  There may be a Benefit Reduction Due to Age provision. There may be a Benefit Suspension Period between recurrences of the same Covered Condition or occurrences of different Covered Conditions.  MetLife offers CII on both an Attained Age basis, where rates will increase when a Covered Person reaches a new age band, and an Issue Age basis, where rates will not increase due to age. Rates are subject to change. MetLife reserves the right to raise premium rates for Issue Age CII on a class-wide basis. A more detailed description of the benefits, limitations, and exclusions applicable to MetLife’s CII product can be found in the applicable Disclosure Statement or Outline of Coverage/Disclosure Document available at time of enrollment. For complete details of coverage and availability, please refer to the group policy form GPNP07-CI, GPNP09-CI, GPNP10-CI, GPNP14- CI, GPNP19-CI or contact MetLife for more information.  Please contact MetLife for more information. Benefits are underwritten by Metropolitan Life Insurance Company, New York, New York.

     

    Metropolitan Life Insurance Company  |  200 Park Avenue  |  New York, NY 10166

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